重症监护病房患者真菌感染的观察  

Observe the Nosocomial Fungal Infection in Intensive Care Unit

作　　者：刘华[1] 赵锋[1] 朱会耕[1] 曹同瓦[1] 

机构地区：[1]复旦大学附属华山医院危重病科,上海200040

出　　处：《中国临床医学》2004年第5期845-846,共2页Chinese Journal of Clinical Medicine

摘　　要：目的 :观察研究重症监护室 (ICU)的院内真菌感染的易感因素和防治措施。方法 :对复旦大学附属华山医院ICU 2 0 0 3年 1月～ 2 0 0 3年 8月 179例患者共 6 12份临床标本进行分离培养。分析真菌感染易感因素及防治对策。结果 :179例患者中发生医院真菌感染 35例 ,为 19.5 %。病情危重 ,长期应用抗生素、激素及侵袭性操作均是真菌感染的因素。结论 :真菌感染的防治应积极消除诱发因素 ,早期诊断和治疗。Objective: To observe the susceptible factors, the methods of prevention and treatment of nosocomial fungal infection in ICU. Methods: Total of 612 samples were taken from 179 patients in our ICU from Jan.2003 to Aug.2003. The susceptible factors, the methods of prevention and treatment of fungal infection were analyzed. Results: Fungal infections were found in 35 cases(19.5%). The factors related to nosocomial fungal infection were the severity of the primary disease, long-term use of antibiotics and glucocorticoid, invasive procedure. Conclusion:The key point of prevention and cure of fungal infection is to eliminate the susceptible factors of fungal infections and to provide the early diagnosis and treatment.

关 键 词：真菌感染 患者 易感因素 重症监护病房 ICU 治疗 观察 目的 重症监护室 

分 类 号：R519[医药卫生—内科学] R378[医药卫生—临床医学]